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Boulder Building Performance Ordinance Energy Assessment Submission Form

Please complete the following form and attach the energy assessment report. Submissions will be reviewed by city staff and confirmation of compliance with the energy assessment requirement will be sent following review.

For more information visit www.BoulderBuildingPerformance.com

Questions can be submitted to the Help Desk at (844) 811-8785 or BPOHelpdesk@bouldercolorado.gov

Contact Information

Please provide the contact information for the person submitting this form.

First Name *

Last Name *

Phone Number *

Email Address *

Company *

Contact Role *

Building Owner

Property Manager

Service Provider

Other: Other:

Building Information

Covered Building Address *

City *

State *

Zip/Postal Code *

Boulder Energy Reporting ID * 🛈

Building Square Footage *

Energy Assessment Information

Scope of Energy Assessment Completed * 🛈

Did you complete the energy assessment through an Xcel Energy Program? *

Yes

Was the energy assessment completed concurrently with Retrocommissioning? * 🛈

Yes

Attach Report * 🛈

Do you have anything to add about the energy assessment?

Service Provider Information

Please identify the service provider who completed the energy assessment.

Service Provider First Name *

Service Provider Last Name *

Phone Number *

Email Address *

Company *

The service provider is listed on the city's Qualified Service Provider List * 🛈

Submission

I understand if the energy assessment report does not meet the requirements as prescribed in the Ordinance, this building may not be in compliance *

Yes

I understand if the service provider is not listed on the city's qualified service provider list, this building may not be in compliance *

Yes

Signature * 🛈

clear

Date/Time * +